MEDICARE: HEIDI L REED MSN, PMHNP-BC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	364SP0808X	Psychiatric/Mental Health Clinical Nurse Specialist	RN295441	GA

General Provider Information

NPI Number	:	1841156049
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	HEIDI L REED MSN, PMHNP-BC

Provider Business Mailing Address
First Line	:	6345 OLDE ATLANTA PKWY
Second Line	:
City	:	SUWANEE
State	:	GA
Zip	:	30024-4210
Country	:	US
Telephone Number	:	772-475-4233
Fax Number	:

Provider Business Practice Location Address
First Line	:	6345 OLDE ATLANTA PKWY
Second Line	:
City	:	SUWANEE
State	:	GA
Zip	:	30024-4210
Country	:	US
Telephone Number	:	772-475-4233
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/31/2025
Last Update Date	:	12/31/2025

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